Friday, January 6, 2017

Reflecting back on 2016 & moving forward into 2017

Welcome to the first blog
of 2017 where we are going to reflect upon our favourite articles from 2016,
and consider the impact that they may have, on us personal or the sexual harm
field, in moving forward into 2017.

Kieran McCartan, PhD

At ATSA 2013 I saw Nicole Pittman talk, she was
discussing her report “Raised on the Registry” which highlighted the
impact of disclosing juvenile sex offender information in the USA. Nicole’s
report struck me as it highlighted a very punitive practice with massive
societal community and individual impacts; particularly as we do not publically
disclosure the information of sex offenders, especially that of youths,in the UK in the same way as the USA. I
thought that the recently published article by Harris, Walfield, Shields and
Latourneau entitled “Collateral Consequences of Juvenile Sex Offender
Registration and Notification: Results from a survey of treatment providers” (Sexual Abuse: A Journal of Research and Treatment, 28,
770-790) was a good counterpoint to Nicole’s report. The article by
Harris et al highlighted, again, the negative impact that community
notification of juvenile sex offender information has on the person in question
as well as their community but this time from treatment providers. The insight
that that treatment providers brings to this argument is important as it can
help shape policy and practice in this arena, with policy makers hopefully
being more inclined to listen and support change. The Harris et al paper also
reinforces the importance, as well as negative consequences, of language,
social policy, risk management and politics in how we deal with sexual harm
(“sex offender”, “Juvenile sex offender” etc), which was also highlighted in
other 2016 SAJRT papers ( Zgoba et al; Harris& Socia; Hoing, Bogaerts & Vogelvang). The Harris
et al paper refocused me for 2017, it remaindered be that there is still a
distance to be travelled in getting realistic sexual harm policy and practice
across the board for high profileoffenders (i.e., middle aged, white child sexual abusers), never
mindwhat may be consideredby sections of society as “fringe” offenders
(i.e., juveniles, females, learningdisabled).

David Prescott, LISCW

For this
year, I am going well outside the usual scope of our “best of” series. It may
seem off topic, but I think this study by Goldberg, Miller, Nielsen,
Rousmaniere, Whipple & Hoyt called“Do Psychotherapists Improve with Time and
Experience?” (Journal of Counseling Psychology,63,1-11) is very important to know about. Here’s why:

Goldberg and his colleagues studied whether
therapist experience is linked to improved outcomes for clients in general
psychotherapy (i.e. not abuse-related). They followed 6,591 patients seen in
individual psychotherapy by 170 therapists over nearly five years. To date, no
large-scale longitudinal study has assessed whether the amount of professional
experience of the therapist would improve outcomes over time.

The study found that psychotherapy was effective
overall. Unfortunately, therapists did not improve with experience. In fact,
therapists became slightly less effective over time (although the authors note
that the level of this decrease was extremely small). The authors also note
that these results contrast with clinician self-reported experiences with
clients. In short, therapists believe they become more effective over time;
these results suggest otherwise.

Clearly, effective treatment of people who sexually
abuse is a matter of public safety as well as a means to help individual
clients manage their lives. This study should serve as a warning that
practitioners can easily be lulled into a sense of complacency about their
effectiveness; confidence can improve across one’s career, competence may not.
In our work, we should always remember that getting better at avoiding mistakes
is not the same as becoming more effective at developing the clinical skills
that lead to successful treatment completion for our clients.

Jon Brandt, LISCW

This year, my pick for the most noteworthy journal
article of 2016 is an easy one: “Quantifying the Decline in Juvenile Sexual
Recidivism Rates,” (Psychology, Public Policy, and Law; July 18, 2016).Michael Caldwell (University of Wisconsin,
Madison) reviewed 106 international recidivism studies involving more than
33,000 juveniles who have sexually offended, and determined the mean five-year
sexual recidivism rate for offenses committed over the last 30 years is less
than 5%. Looking at the most recent 33 studies, since 2000, Caldwell
determined a mean sexual recidivism
rate of 2.75%, and, “This suggests that the most current sexual recidivism rate
is likely to be below 3%.” Another important finding was that
follow-up periods beyond 36 months did not significantly increase recidivism
rates.The implications of this study
are significant and are the subject of a SAJRT blog 8/12/16.

Current policies and practices driving the
assessment, treatment, and management of juveniles with sexual offenses are
still predicated on beliefs that they are likely to sexually reoffend.If, as a group, 97% of juveniles don’t
sexually reoffend, what’s the takeaway from this research?

Caldwell’s research also indicates that general
delinquency IS positively correlated to sexual reoffending, and even with
sexual recidivism below 3%, the Risk-Needs-Responsivity model is still useful
in determining NEEDS and RESPONSIVITY.It is likely, that a small percentage of juvenile offenders have high
needs, however, perhaps the seven out of ten juveniles who do not have
concurring general delinquency, might benefit from some psycho-sexual
education, and otherwise deserve a speedy exit from the juvenile court
system.For the majority of juveniles
with sex offenses, intensive treatment, long periods of supervision, and
onerous conditions of probation, are essentially unwarranted, and may even set
them up to fail, e.g. sex offender registration and notification laws are not
only unfounded, they are profoundly counterproductive.Public perceptions and engrained practices
die hard, but hopefully, professionals throughout the juvenile justice system
will use this conclusive research to guide sound dispositions.

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Kieran McCartan, PhD

Chief Blogger

David Prescott, LICSW

Associate blogger

Jon Brandt, MSW, LICSW

Associate Blogger

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The Association for the Treatment of Sexual Abusers (http://atsa.com/) is an international, multi-disciplinary organization dedicated to preventing sexual abuse. Through research, education, and shared learning ATSA promotes evidence based practice, public policy and community strategies that lead to the effective assessment, treatment and management of individuals who have sexually abused or are risk to abuse.

The views expressed on this blog are of the bloggers and are not necessarily those of the Association for the Treatment of Sexual Abusers, Sexual Abuse: A Journal of Research & Treatment, or Sage Journals.

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